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Low Hemoglobin: 12.4 g/dL (Normal: 13.0–17.0)
Low RBC: 3.90 million/cu.mm (Normal: 4.5–5.5)
Low Hematocrit: 37.8% (Normal: 40–50)
High RDW-CV: 16.6% (Normal: 11.5–14)
Low WBC (TLC): 2.95 x10³/µL (Normal: 4–10)
Low Neutrophils (Absolute): 1.47 x10³/µL (Normal: 2–7)
Low Platelets: 62 x10³/µL (Normal: 150–410)
High MPV: 15.4 fL (Normal: 6.5–12)
High PDW: 28.5 fL (Normal: 9–17)
High Bilirubin Total: 2.32 mg/dL (Normal: 0.3–1.2)
High Bilirubin Direct: 0.67 mg/dL (Normal: 0.0–0.3)
High Bilirubin Indirect: 1.65 mg/dL (Normal: 0.2–0.8)
Low HDL Cholesterol: 35 mg/dL (Normal: ≥39.9)
Urine Appearance: Slightly Hazy (Normal: Clear)
Answers (14)
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Interpretation
Pancytopenia (↓ Hb, ↓ WBC, ↓ Platelets) → The combination is concerning.
Could be due to bone marrow suppression (aplastic anemia, marrow infiltration, drug/toxin exposure, viral infections like Hepatitis, HIV, EBV, Parvovirus).
Or hypersplenism (enlarged spleen sequestering blood cells).
Indirect hyperbilirubinemia → May indicate increased RBC breakdown (hemolysis) or ineffective erythropoiesis.
Nutritional deficiencies (B12, folate) could also cause anemia + low WBC + low platelets.
Other possibilities: Chronic liver disease, autoimmune disorders.
---
✅ Recommended Next Steps
Immediate:
Repeat CBC to confirm counts.
Peripheral smear (look for abnormal RBC, blasts, hemolysis).
Reticulocyte count (bone marrow response).
LFT, viral markers (Hepatitis, HIV, EBV, Parvovirus).
Ultrasound abdomen (spleen size, liver condition).
If persists:
Bone marrow aspiration/biopsy (to rule out marrow failure, leukemia, myelodysplastic syndrome, aplastic anemia).
B12, folate, iron studies.
---
⚠️ Red Flag – Needs Urgent Attention
Platelets 62k only → If he develops bleeding gums, nosebleeds, black stools, blood in urine, or unexplained bruising, he must go to hospital immediately.
Neutrophils 1.47 ×10³/µL → ↑ infection risk → must avoid exposure to infections.
---
👉 Summary
This is not just simple anemia. It looks like pancytopenia with mild jaundice → needs urgent hematology evaluation. Could be nutritional, infectious, liver/spleen related, or bone marrow disorder.
Next Steps
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Need proper history...
1. What is ur complaint
2. Duration
3.drugs u take.
4.any therapy or operation done.
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need details
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Advise bone marrow biopsy under hematologist. Or MD physician as all ranges r low.
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What are your symptoms? Evaluating only investigations without a proper history is pointless
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All the blood cells lines are low.
Consult a hematologist for bone marrow biopsy.
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Need few more details
Kindly connect
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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if you would like to know more details about this problem, you can reach me for a free detailed consultation on WhatsApp at nine one one nine two five five six nine nine
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You can consult me directly on Practo, or reach out via WhatsApp:
Eight Seven Six Two Seven Four Nine Nine Seven Four
I’ll guide you step-by-step with easy-to-follow treatment plans.
Early consultation helps avoid complications — feel free to connect.
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The report suggests multiple causes that may be associated, mention the symptoms and difficulty that patient is facing along the reports.
Next Steps
Consult for better understanding
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Siddesh Venkatraman
General Physician
1 yrs exp
Mumbai
Hello, your report shows low hemoglobin, WBCs, and platelets with raised bilirubin, which is not routine anemia and needs urgent evaluation. Please consult a hematologist/physician for further tests and treatment.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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